2. VII. COLLABORATION/DELEGA TION A. DEFINED UNIT two: STRATEGIES for PROFESSIONAL DEVELOPMENT

3. COLLABORATION DEFINED Collaboration is defined as two or more people who work together to solve a common problem and share responsibility for the process and the outcome

4. CHARACTERISTICS OF COLLABORATION By combining efforts and sharing professional assets, information can be pooled to design a comprehensive plan for the client It is essential that each discipline understand and appreciate each other’s role so that expectations of each other are not based on stereotyped beliefs It means developing a relationship with each other and with the client

5. FURTHER CHARACTERISTICS OF COLLABORATION It requires nurses, physicians, and clients to communicate effectively with each other It requires nurses, physicians and clients to view each other as coming from different perspectives, but having an important joint influence on client care. It requires promoting a sense of mutual respect

6. COLLABORATIVE RELATIONSHIPS BETWEEN NURSES AND PHYSICIANS As nurses increase education the knowledge gap decreases between nurses and physicians, making the nurse-physician relationship more collegial Dependent nursing functions are being replaced by protocols that can be implemented based on nursing decisions Relationships are more interdependent: nurses and physicians collaborate with research, case management

7. DELEGATION DEFINED Delegation is defined by the American Nurses Association as the transfer of responsibility for the performance of a task from one individual to another while retaining accountability for the outcome Responsibility Authority DELEGATION ACCOUNTABILITY FOR OUTCOME

8. RESPONSIBILITY Involves reliability, dependability, and the obligation to accomplish work when an assignment is accepted Includes each person’s obligation to perform at an acceptable level (the level to which the person has been educated)

9. AUTHORITY Occurs when a person who has been given the right to delegate based on the state nurse practice act and has the official power from an agency to delegate

10. LEVELS OF AUTHORITY LEVELAUTHORITY ONEDelegate to collect data to simply find out the facts or assess the situation and report back TWODelegate to collect data and make a recommendation back to the RN THREEDelegate to assess the situation, make a recommendation, report back, and then implement the final RN recommendation FOURDelegate to carry out the task, as he or she believes appropriate

11. ACCOUNTABILITY DEFINED as being responsible and answerable for the actions or inactions of self or others in the context of delegation

12. WHAT IS THE LICENSED NURSE ACCOUNTABLE FOR? NCSBN indicates the licensed nurse is accountable for: The quality of nursing care provided For recognizing limits, knowledge, and experience For planning for situations beyond the nurse’s expertise For monitoring changes in a patient’s status For noting and implementing treatment for human responses to illness For assisting in the prevention of complications For assessing the patient, making a nursing diagnosis, for developing, implementing and evaluating the patient’s plan of care Monitoring more stable patients cared for by LPN and NAP